HomeMy WebLinkAboutBuilding permit appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Generator
Address: 5385 Christensen RD Fort Pierce
Commercial Residential
Legal Description: WILEY-S LANDING (PB 43-37) PARCEL 1 (2.97 AC) (OR 4082-2724)
Property Tax ID #: 3405-700-0002-000-5
Site Plan Name:
Project Name: Horton, Dennis
Setbacks Front Back:
Right Side: Left Side:
Lot No._
Block No.
Remove existing 15KW generator and install a new 22KW with (2) 200 automatic transfer switches
❑ H VAC
❑✓ Electric
❑ Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 8756.25
L =J Shutters
MGenerator
ScFt. of First Floor: 2920
Utilities: —Sewer Septic
Name Dennis Horton
Address: 5385 Christensen Rd
City: Fort Pierce State: FL
Zip Code: 34981 Fax:
Phone No.
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Sam Crane
Windows/Doors
❑ Roof Roof pitch
Building Height:
Company: Sam Crane Electrical LLC
Address: 3324 SE Gran Park Way
City: Stuart
Zip Code: 34997 Fax: _
Phone No. 772-223-8865
E -Mail: samcraneelectric@yahoo.com
State or County License: EC0001986
I vu- WN UVIIaLl uLawn n ?ZJUU or more, a KtLUKUtu Notice of commencement is required.
State: FL
DESIGNER/ENGINEER: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: — Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
State:
BONDING COMPANY: Not Applicable
Name: _
Address:
City:_
Zip:
Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
�- - s
Signature of Own er/Cesse e/Contractor as Agent for Owner Signature of Contractor ens Holder
STATE OF FLORIDAA, �A STATE OF FLORIDA �,J�
COUNTY OF Iv l COUNTY OF I t mj o
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this l -q-- day of JQV)f__ 20 Eby this A- day of JVD{ 20 W by
leo b.atl s . ( our4 .
(Name of person acknowledging) (Name of person acknowledging4 _� )
ASOO 0)�-W�ko ,
(Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida )
Personally Known _� OR Produced Identification Personally Known W OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. Commission No. ,..,.,,,_„,�,�,
o ''P��,,, KASSI WILSON
��` �m KASSI WILSON
a Notar Public -State o€ Florida ' ` pan= Notar Public -State of Florida
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_* *, Commission # GG 938839 =. *_
-� _ Commission # GG 938839
tRevis:ed07/15/" My Commission Expires
��%- o��F�oe My Commission Expires
December 11, 2023 " �"` December 11, 2023
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS T_